Brake system for wall arm

ABSTRACT

An arm is pivotally coupled to a support structure at one end and a patient care equipment support, such as a service head, is pivotally coupled to the arm at the other end. The arm has a first portion and a second portion coupled to the first portion for extension and retraction relative to the first portion. Brakes are provided to brake the extension and retraction of the portions of the arm, to brake the pivoting movement of the arm relative to the support structure, and to brake the pivoting movement of the patient care equipment support relative to the arm. Each of the brakes is releasable.

CROSS REFERENCE TO RELATED APPLICATION

This application claims the benefit, under 35 U.S.C. § 119(e), of U.S.Provisional Patent Application No. 60/676,772, filed May 2, 2005, whichis hereby expressly incorporated by reference herein.

BACKGROUND OF THE INVENTION

The present disclosure relates to an arm system for supporting a servicehead having a plurality of service connectors, and more particularlyrelates to a brake system for use with such an arm system.

Hospitals often require a variety of service connectors which arereadily accessible to a caregiver and which are in close proximity to apatient supported on a patient support, such as a hospital bed, astretcher, and the like. Illustratively, such service connectors includemedical gas and vacuum outlets, data ports, electrical outlets,telephone jacks, and the like. The service connectors are sometimessupported on a service head, which is, in turn, supported by ahorizontal arm which extends outwardly from a support structure such asa wall, a ceiling, or other frame work. A plurality of service deliverylines are routed through the arm and connected to the associated serviceconnectors.

SUMMARY OF THE INVENTION

The present invention comprises a system that has one or more of thefollowing features or combinations thereof, which alone or in anycombination may comprise patentable subject matter:

An arm system may include a first arm having a first portion and asecond portion coupled to the first portion for extension and retractionrelative to the first portion. The first and second portions may have afirst plurality of service delivery lines routed therethrough. The armmay extend outwardly from a support structure in a hospital or ahealthcare facility.

The arm system may include a first brake movable in response to a firstuser input between a braking position to impede the longitudinalmovement of the second portion relative to the first portion and areleasing position to allow the longitudinal movement of the secondportion relative to the first portion. The first brake may normallyimpede the longitudinal movement of the second portion relative to thefirst portion. The first brake may be movable to the releasing positionin response to the first user input to allow longitudinal movement ofthe second portion relative to the first portion.

The first portion may have a proximal end coupled to the supportstructure to pivot about a first axis. The arm system may include asecond brake movable in response to the first user input, or in responseto another user input, between a braking position to impede the pivotingmovement of the first arm and a releasing position to allow the pivotingmovement of the first arm. The first and second brakes may normallyimpede the longitudinal movement of the second portion relative to thefirst portion and the pivoting movement of the first arm about the firstaxis. The first and second brakes may be movable to their respectivereleasing positions in response to the first user input to allow boththe longitudinal movement of the second portion relative to the firstportion and the pivoting movement of the first arm about the first axis.Separate user inputs to release the first and second brakes separatelymay be provided in some embodiments.

The arm system may include a first service head coupled to the secondportion for longitudinal movement therewith and to pivot about a secondaxis. The arm system may include a third brake movable in response tothe first user input, or in response to another user input, between abraking position to impede the pivoting movement of the first servicehead about the second axis and a releasing position to allow thepivoting movement of the first service head about the second axis. Thefirst service head may include a plurality of service connectors coupledto the associated service delivery lines routed through the first arm.

The first, second and third brakes may normally impede the longitudinalmovement of first service head and the pivoting movement of the firstarm about the first axis and the first service head about the secondaxis. The first, second and third brakes may be movable to theirrespective releasing positions in response to the first user input toallow the longitudinal movement of the first service head and thepivoting movement of the first arm about the first axis and the firstservice head about the second axis. Separate user inputs to release thefirst, second, and third brakes separately may be provided in someembodiments. The arm system may include a brake controller that signalsthe first, second and third brakes to move to their respective releasingpositions in response to the actuation of one or more brake releaseswitches mounted on the first service head.

The first and second axes may each extend generally vertically. In someembodiments, one or more user inputs are provided by one or more userinput devices mounted on a wall adjacent to the arm system. In someembodiments, one or more user inputs are provided by a wireless userinput device. The first plurality of service delivery lines may includeany one or more of the following: electrical power lines of all types,data lines of all types, control signal lines of all types, medical gaslines of all types and vacuum lines of all types.

The arm system may include a second arm having a proximal end coupled tothe support structure to pivot about a third axis. In some embodiments,the third axis is substantially coincident with the first axis. The armsystem may include a fourth brake movable in response to a second userinput between a braking position to impede the pivoting movement of thesecond arm about the third axis and a releasing position to allow thepivoting movement of the second arm about the third axis. The second armmay have a second plurality of service delivery lines routedtherethrough.

The arm system may include a second service head coupled to a distal endof the second arm to pivot about a fourth axis. The arm system mayinclude a fifth brake movable in response to the second user input, orin response to another user input, between a braking position to impedethe pivoting movement of the second service head about the fourth axisand a releasing position to allow the pivoting movement of the secondservice head about the fourth axis. The second service head may includea plurality of service connectors coupled to the associated servicedelivery lines routed through the second arm.

The second arm may include a first portion and a second portion coupledto the first portion for extension and retraction relative to the firstportion. The arm system may include a sixth brake movable in response tothe second user input, or in response to another user input, between abraking position to impede the longitudinal movement of the secondportion relative to the first portion and a releasing position to allowthe longitudinal movement of the second portion relative to the firstportion.

The fourth, fifth, and sixth brakes may normally impede the longitudinalmovement of second service head and the pivoting movement of the secondarm about the third axis and the second service head about the fourthaxis. The fourth, fifth, and sixth brakes may be movable to theirrespective releasing positions in response to the second user input toallow the longitudinal movement of the second service head and thepivoting movement of the second arm about the third axis and the secondservice head about the fourth axis. Separate user inputs to release thefourth, fifth, and sixth brakes separately may be provided in someembodiments.

The third and fourth axes may each extend generally vertically. In someembodiments, one or more user inputs are provided by one or more userinput devices mounted on a wall adjacent to the arm system. In someembodiments, one or more user inputs are provided by a wireless userinput device. The second plurality of service delivery lines may includeany one or more of the following: electrical power lines of all types,data lines of all types, control signal lines of all types, medical gaslines of all types and vacuum lines of all types.

An arm system may include a first arm having a proximal end coupled to asupport structure to pivot about a first axis and a second arm having aproximal end coupled to the support structure below the first arm topivot about a second axis. In some embodiments, the second axis issubstantially coincident with the first axis. A first plurality ofservice delivery lines may be routed, in part, downwardly through thesupport structure and then outwardly through the first arm. A secondplurality of service delivery lines may be routed, in part, upwardlythrough the support structure and then outwardly through the second arm.

The support structure may include a first downwardly-extending pivot anda second upwardly-extending pivot. The proximal end of the first arm maybe coupled to the first downwardly-extending pivot to pivot about thefirst axis. The first plurality of service delivery lines may be routeddownwardly through the first downwardly-extending pivot and thenoutwardly through the first arm. The proximal end of the second arm maybe coupled to the second upwardly-extending pivot to pivot about thesecond axis. The second plurality of service delivery lines may berouted upwardly through the second upwardly-extending pivot and thenoutwardly through the second arm.

Additional features, which alone or in combination with any otherfeature(s), such as those listed above, may comprise patentable subjectmatter and will become apparent to those skilled in the art uponconsideration of the following detailed description of variousembodiments exemplifying the best mode of carrying out the embodimentsas presently perceived.

BRIEF DESCRIPTION OF THE DRAWINGS

The detailed description particularly refers to the accompanyingfigures, in which:

FIG. 1 is a perspective view of a wall arm system positioned next to ahospital bed, showing the wall arm system including a support structure,an upper telescopic arm pivotally coupled to the support structure atone end and carrying a service head having a plurality of serviceconnectors at the other end, and a lower non-telescopic arm pivotallycoupled to the support structure at one end below the first arm andcarrying a service head having a plurality of service connectors at theother end;

FIG. 2 is a diagrammatic view of the FIG. 1 wall arm system;

FIG. 3 is a block diagram of a brake controller of the wall arm system;

FIG. 4 is a front perspective view showing the upper arm having an innertube that telescopes into and out of an outer tube that is pivotallycoupled to the support structure of FIG. 1;

FIG. 5 is a rear elevation view of the upper arm with the rear endcapremoved showing a support bearing for supporting the telescopic movementof the inner tube relative to the outer tube, the service delivery linesrouted through the upper arm being removed for clarity;

FIG. 6 is a rear elevation view, similar to FIG. 5, of the upper armwith the rear endcap removed showing a first brake to impede thetelescopic movement of the inner tube relative to the outer tube;

FIG. 7 is a front perspective view of the first brake showing an innerand outer brake arms forming a scissors-type clamp, brake pads attachedto the brake arms, and a solenoid responsive to a control signal forpivoting the brake arms in a direction that spreads apart the brake padsto release the brake;

FIG. 8 is a rear perspective view of the first brake;

FIG. 9 is a front elevation view of the first brake;

FIG. 10 is a top perspective view of an upper cantilevered portion withthe cover removed, an upper arm support casting, a ring gear coupled toa pivot tube extending upwardly from the upper arm, and a second brakecoupled to the ring gear to impede the pivoting movement of the upperarm relative to the upper arm support casting;

FIG. 11 is a bottom perspective view of a service head support casting,a pivot tube extending downwardly from the upper arm and coupled to theservice head support casting, a ring gear coupled to a lower end of thepivot tube, and a third brake coupled to the ring gear to impede thepivoting movement of the service head relative to the service headsupport casting;

FIG. 12 is a diagrammatic view of the second and third brakes; and

FIG. 13 is a perspective view showing a handle coupled to the servicehead, and a pair of brake release switches extending inwardly from theinside surface of the handle.

DETAILED DESCRIPTION OF THE DRAWINGS

FIGS. 1 and 2 show a wall arm system 20 and a hospital bed 22 positionednext to the wall arm system 20. The wall arm system 20 is located in apatient room 24 of a hospital or a healthcare facility. Although ahospital bed is shown in the illustrated embodiment, the wall arm system20 may very well be used with a stretcher, an operating table, a chairbed, an ambulatory care chair, and the like. Also, the wall arm system20 may be used in different settings such as, for example, intensivecare rooms, operating rooms, and physician offices.

The arm system 20 includes a first or upper telescopic arm 50 having aproximal end 52 coupled to a support structure 54 to pivot about a firstgenerally-vertical axis 56. A first plurality of service delivery lines58 are routed through the upper arm 50. A first service head 60 iscoupled to a distal end 62 of the upper arm 50 to pivot about a secondgenerally-vertical axis 66. The service head 60 includes a firstplurality of service connectors 68 connected to the associated servicedelivery lines 58 routed through the upper arm 50. The upper arm 50 issometimes referred to as the radial or top-mounted telescopic arm 50.

As shown in FIG. 1, the service head 60 includes a first plurality ofaccessory tracks 104 for supporting patient care equipment, such asinfusion pumps, monitors, hooks for IV bags, accessory baskets, bottleslides, and the like. The accessory tracks 104 include one accessorytrack 61 of a first-type and four accessory tracks 63 of a second-type.The first-type track 61 is located on a front side of the service head60 and two second-type tracks 63 are located on each of the two oppositesides of the service head 60. A somewhat D-shaped handle 64 is coupledto the first-type track 61 to adjust the position of the service head 60and/or the upper arm 50 after releasing a set of brakes 80, 82, 84holding the arm 50 and the service head 60 in place. Thus, the servicehead 60 serves as a patient care equipment support to which a variety ofpatient care equipment, such as IV pumps, ventilators, heart monitorsand the like, are couplable. In some embodiments contemplated by thisdisclosure, the service head 60 does not have service connectors 68 andthe lines 58 are not routed through the arm 50. In some embodiments, thefirst-type accessory track 61 is a GCX-type track and the second-typeaccessory track 63 is a Hill-Rom profile or AP (Architectural Products)accessory track. In other embodiments, tracks with differentconfigurations and sizes are be used.

The arm system 20 includes a second or lower non-telescopic arm 150having a proximal end 152 coupled to the support structure 54 below theupper arm 50 to pivot about a third generally-vertical axis 156. Asecond plurality of service delivery lines 158 are routed through thelower arm 150. A second service head 160 is coupled to a distal end 162of the lower arm 150 to pivot about a fourth generally-vertical axis166. The service head 160 includes a plurality of service connectors 168connected to the associated service delivery lines 158 routed throughthe lower arm 150. The service head 160 includes a second plurality ofaccessory tracks 204 for supporting patient care equipment. A somewhatD-shaped handle 164 is coupled to the first-type track to adjust theposition of the service head 160 and/or the lower arm 150 afterreleasing a set of brakes 182, 184 holding the arm 150 and the servicehead 160 in place. The lower arm 150 is sometimes referred to as theradial or bottom-mounted arm 150.

Certain terminology will be used in the following description forconvenience and reference only, and will not be limiting. For example,the words “upwardly”, “downwardly”, “rightwardly” and “leftwardly” willrefer to directions in the drawings to which reference is made unlessspecified otherwise. The words “inwardly” and “outwardly” will refer todirections toward and away from, respectively, the geometric center ofany referred-to object, such as the arms 50, 150, to which the referenceis made. Such terminology will include the words specifically mentionedabove, derivatives thereof, and words of similar import.

The upper arm 50 is longer than the lower arm 150. The upper arm 50 istelescopic while the lower arm 150 is fixed in length or non-telescopic.The pivotal-mounting of the arms 50, 150 to the support structure 54 andthe pivotal-mounting of the service heads 60, 160 to the respective arms50, 150 permits the service heads 60, 160 to be accessible from a widerange of locations in the hospital room 24. The telescoping of the upperarm 50 provides additional flexibility in positioning the first servicehead 60. Also, the telescoping of the upper arm 50 allows the upper arm50 and the service head 60 to pass around the lower arm 150 and theservice head 160. This allows the upper arm 50 to be positioned oneither side of the lower arm 150, thereby giving the caregiver greaterflexibility in setting up the patient care equipment about a patient.Illustratively, the longer arm 50 is positioned vertically above theshorter arm 150, facilitating movement of the arms 50, 150 past eachother. The arms 50, 150 are constructed of aluminum extrusions in someembodiments.

In the embodiment illustrated in FIGS. 1 and 2, the main pivot axes 56,156 of the first and second arms 50 and 150 are substantially verticallyaligned. In other embodiments, the pivot axes 56, 156 are offset. In theembodiment illustrated in FIG. 1, the upper arm 50 is telescopic and thelower arm 150 is non-telescopic. In other embodiments, both arms 50, 150are telescopic. In still other embodiments, both arms 50, 150 arenon-telescopic. In some embodiments, the upper arms 50 is non-telescopicand the lower arm 150 is telescopic. Both the upper and lower arms 50,150 can turn between 160° and 190° around the respective pivot axes 56,156. The upper telescopic arm 50 can extend from 41.5 inches to about 64inches.

The support structure 54 illustrated in FIGS. 1 and 2 extends between afloor 26 and a ceiling 28 of the hospital room 24. Alternatively, thesupport structure 54 may extend upwardly from the floor 26 or downwardlyfrom the ceiling 28 or outwardly from a wall 30 of the patient room 24.Also, the support structure 54 may be built into the ceiling 28 or thewall 30 or it may jut outwardly from the wall 30. An illustrativesupport structure for radial arms is disclosed in a PCT PatentApplication Serial No. US2004/33648 (PCT Publication No. WO2005/037166),filed Oct. 12, 2004, which is hereby incorporated herein by reference.While the illustrative arms 50, 150 are horizontal structures, thisdisclosure also contemplates non-horizontal structures.

As shown in FIG. 4, the upper arm 50 has an inner tube or portion 70that telescopes into and out of an outer tube or portion 72 along agenerally-horizontal longitudinal axis 74 of the outer tube 72. Whilethe illustrative inner portion 70 extends and retracts telescopicallyrelative to the outer portion 72, in other embodiments, the extensionand retraction may occur without one portion of an arm being receivedtelescopically in another portion of the arm. For example, the arm mayhave overlapping arm portions or nesting U-shaped arm segments. The armsystem 20 includes a first brake 80 movable between a braking positionto impede the longitudinal movement of the inner tube 70 relative to theouter tube 72 and a releasing position to allow the longitudinalmovement of the inner tube 70 relative to the outer tube 72. The armsystem 20 includes a second brake 82 movable between a braking positionto impede the pivoting movement of the upper arm 50 about the first axis56 and a releasing position to allow the pivoting movement of the upperarm 50 about the first axis 56. The arm system 20 includes a third brake84 movable between a braking position to impede the pivoting movement ofthe first service head 60 about the second axis 66 and a releasingposition to allow the pivoting movement of the first service head 60about the second axis 66.

In the illustrated embodiment, the first, second and third brakes 80,82, 84 are in their respective braking positions when no power isapplied. The brakes 80, 82, 84 move to their respective releasingpositions in response to a user pressing and holding a brake releaseswitch 76 (shown diagrammatically in FIG. 2) mounted on the service head60, thereby allowing the upper arm 50 to pivot and/or telescope andallowing the service head 60 to pivot. In the illustrated embodiment, ifthe brake release switch 76 is pressed for a predetermined period, suchas 30 seconds or longer, the power to the brakes 80, 82, 84 isinterrupted so that the brakes 80, 82, 84 are reengaged into theirrespective braking positions. In some embodiments, separate user inputsto release the first, second, and third brakes 80, 82, 84 separately maybe provided. In some other embodiments, one or more user inputs areprovided by one or more user input devices mounted on a wall adjacent tothe arm system 20. In other embodiments, one or more user inputs areprovided by a wireless user input device (not shown).

In the illustrated embodiment, as shown in FIG. 13, the brake releaseswitch 76 (shown diagrammatically in FIG. 2) comprises two brake releaseswitches 76 extending inwardly from an inside surface 78 of the D-shapedhandle 64 of the service head 60. To release the brakes 80, 82, 84 andadjust the position of the service head 60 and/or the upper arm 50, theuser holds the handle 64 and presses and holds either or both of thebrake release switches 76 extending from the inside surface 78 of thehandle 64. The user can then adjust the position of the service head 60and/or the upper arm 50 while continuing to press and hold either orboth of the brake release switches 76 on the handle 64.

As shown in FIG. 2, the arm system 20 includes a fourth brake 182movable between a braking position to impede the pivoting movement ofthe lower arm 150 about the third axis 156 and a releasing position toallow the pivoting movement of the lower arm 150 about the third axis156. The arm system 20 includes a fifth brake 184 movable between abraking position to impede the pivoting movement of the second servicehead 160 about the fourth axis 166 and a releasing position to allow thepivoting movement of the second service head 160 about the fourth axis166.

In the illustrated embodiment, the fourth and fifth brakes 182, 184 arein their respective braking positions when no power is applied. Thebrakes 182, 184 are movable to their respective releasing positions inresponse to a user pressing and holding a brake release switch 176(shown diagrammatically in FIG. 2) mounted on the service head 160,thereby allowing the lower arm 150 to pivot and allowing the servicehead 160 to pivot. In the illustrated embodiment, if the brake releaseswitch 176 is pressed for 30 seconds or longer, the brakes 182, 184 areautomatically reengaged. In some embodiments, separate user inputs torelease the fourth and fifth brakes 182, 184 separately may be provided.In some other embodiments, one or more user inputs are provided by oneor more user input devices mounted on a wall adjacent to the arm system20. In other embodiments, one or more user inputs are provided by awireless user input device.

In the illustrated embodiment, the brake release switch 176 (showndiagrammatically in FIG. 2) comprises two brake release switches,similar to the brake release switches 76 in FIG. 13, extending inwardlyfrom an inside surface of the D-shaped handle 164. To release the brakes182, 184 and adjust the position of the service head 160 and/or thelower arm 150, the user holds the handle 164 and presses and holdseither or both of the brake release switches on the handle 164. The usercan then adjust the position of the service head 160 and/or the lowerarm 150 while continuing to press and hold either or both of the brakerelease switches.

The second and fourth brakes 82, 182 impeding the pivoting movement ofthe arms 50, 150 about the respective pivot axes 56, 156 are similar inconstruction. The third and fifth brakes 84, 184 impeding the pivotingmovement of the service heads 60, 160 about the respective pivot axes66, 166 are similar in construction. The brakes 82, 182, 84, 184,sometimes referred to as the “pivot brakes,” are shown diagrammaticallyin FIG. 12.

While the illustrative lower arm 150 is non-telescopic, in otherembodiments, the lower arm 150 may be telescopic. In such event, the armsystem 20 may include a sixth brake (not shown) movable between abraking position to impede the telescopic movement of the lower arm 150and a releasing position to allow the telescopic movement of the lowerarm. The sixth brake may be similar in construction to the first brake80. The brake 80 is sometimes referred to as the “telescopic brake.”

As shown in FIG. 2, the first plurality of service delivery lines 58include electrical and data lines 90, medical gas and vacuum lines 92and control signal lines 94. The first plurality of service connectors68 include electrical outlets 96, data ports 98, and medical gas andvacuum outlets 100. The electrical outlets 96 and data ports 98 arecoupled to the associated electrical and data lines 90. The medical gasand vacuum outlets 100 are coupled to the associated medical gas andvacuum lines 92. The control signal lines 94 couple the brake releaseswitches 76 to a brake controller 102 of the wall arm system 20. Whilethe brake controller 102 is diagrammatically shown in FIG. 2 as locatedoutside the support structure 54, in some embodiments, the brakecontroller 102 is located within the vertically-extending column portion120 of the support structure 54.

As shown in FIG. 2, the second plurality of service delivery lines 158include electrical and data lines 190, medical gas and vacuum lines 192and control signal lines 194. The second plurality of service connectors168 include electrical outlets 196, data ports 198, and medical gas andvacuum outlets 200. The electrical outlets 196 and data ports 198 arecoupled to the associated electrical and data lines 190. The medical gasand vacuum outlets 200 are coupled to the associated medical gas andvacuum lines 192. The control signal lines 194 couple the brake releaseswitch 176 to the controller 102.

The electrical lines 90, 190 supply power at a plurality of voltagesthat are required for operating various pieces of patient careequipment. In addition, the electrical lines 90, 190 may supplyemergency power in the event of a power failure. The data lines 90, 190carry audio, video, and information data. The medical gas lines 92, 192supply one or more of the following: oxygen, nitrogen, nitrous oxide,air and vacuum. In addition to the accessory tracks 104, the servicehead 60 includes an IMD (infusion management device) interface 106 forsupporting infusion management equipment, such as, for example, infusionpumps. Likewise, the service head 160 includes a plurality of accessoryrails 204 and an IMD interface 206.

As shown in FIG. 3, the brake controller 102 includes high and lowvoltage portions 110, 112, respectively. A step-down transformer 114converts the line voltage to a lower AC voltage. The low voltage ACoutput of the transformer 114 is coupled to a a power supply 116. Thepower supply 116 produces a DC voltage required for the operation of alogic circuit 118. The lead lines 94, 194 couple the respective outputsof brake release switches 76, 176 to the logic circuit 118. The logiccircuit 118 provides a first brake release signal in response to theactuation of the first brake release switch 76. The logic circuit 118provides a second brake release signal in response to the actuation ofthe second brake release switch 176. Lead lines 382, 426, 428 supply thefirst brake release signal to the brakes 80, 82, 84 of the upper arm 50.Lead lines 140, 142 supply the second brake release signal to the brakes182, 184 of the lower arm 150.

As shown in FIGS. 1 and 2, the support structure 54 has avertically-extending column portion 120 and upper and lower cantileveredportions 122, 124 that extend outwardly from the vertically-extendingcolumn portion 120. The lower cantilevered portion 124 is situated belowthe upper cantilevered portion 122. As shown in FIG. 2, a first or upperarm pivot 126 is carried by the upper cantilevered portion 122. Theupper arm 50 is coupled to the upper pivot 126 for pivoting movementabout the first axis 56. A second or service head pivot 128 is supportedby the distal end 62 of the upper arm 50. The first service head 60 iscoupled to the second pivot 128 for pivoting movement about the secondaxis 66. The first plurality of service delivery lines 58 are routeddownwardly from the ceiling 28 through the vertically-extending columnportion 120, outwardly though the upper cantilevered portion 122,downwardly though the upper arm pivot 126, outwardly though the uppertelescopic arm 50, downwardly through the service head pivot 128 andthen downwardly through the first service head 60 to the respectiveservice connectors 68.

A third or lower arm pivot 130 is carried by the lower cantileveredportion 124. The lower arm 150 is coupled to the lower pivot 130 forpivoting movement about the third axis 156. A fourth or service headpivot 132 is supported by the distal end 162 of the lower arm 150. Thesecond service head 160 is coupled to the fourth pivot 132 for pivotingmovement about the fourth axis 166. As shown in FIG. 2, the secondplurality of service delivery lines 158 are routed downwardly from theceiling 28 through the vertically-extending column portion 120,outwardly though the lower cantilevered portion 124, upwardly though thelower arm pivot 130, outwardly though the non-telescopic lower arm 150,downwardly through the service head pivot 132 and then downwardlythrough the second service head 160 to the respective service connectors168.

The two arm pivots 126, 130 are generally similar in construction. Onlyone of the two pivots 126, 130, namely, the upper arm pivot 126 isdescribed below with reference to FIG. 10. The upper arm pivot 126includes a thrust bearing 220 that is housed in a central hub 222 of asupport casting 224 of the upper cantilevered portion 122. The casting224 includes the central hub 222, a generally rectangular perimeterframe 226, and six ribs 228 that extend between the central hub 222 andthe perimeter frame 226. The thrust bearing 220 supports adownwardly-extending pivot tube 230 for pivoting movement of the firstaxis 56. A lower end of the pivot tube 228 is attached to a topside ofthe upper arm 50 for rotation therewith about the first axis 56. A ringgear 402 is coupled to an upper end 232 of the pivot tube 230 forrotation therewith. The first plurality of the service delivery lines 58are routed downwardly through the downwardly-extending upper pivot tube230.

As shown in FIG. 10, the ring gear 402 includes a toothed segment 430, anon-toothed segment 432, and two reduced diameter segments 434interposed between them. The toothed segment 430 of the ring gear 402drives a pinion 400 of the upper arm brake 82 as shown in FIG. 12. Tworotational stops 436 are secured to the underside of the non-toothedsegment 432 by associated screws 438. The screws 438 extend throughslightly-oversized holes 440 in the non-toothed segment 432 and thenthreaded into respective openings 442 in the associated stops 436. Thestops 436 are configured to engage respective stops 444 secured to thetopside of a collar 446 that is attached to the central hub 222 of thesupport casting 224. Only one of the two stops 444 secured to the collar446 is shown in FIG. 10. The holes 440 near each end of the non-toothedsegment 432 provide three possible positions for each stop 436. Eachposition of the stop 436 adjusts the range of motion of the upper arm 50by 5° toward that direction. The total swing range of the upper arm 50,if both stops 436 are adjusted, is about 160° minimum to about 190°maximum. Of course, the segment 432 and the stops 436 may be configuredto provide for swing ranges that are less than 160° and/or more than190° in other embodiments.

The lower arm pivot 130 includes a thrust bearing, similar to the trustbearing 220 shown in FIG. 10, that is housed in a central hub of asupport casting of the lower cantilevered portion 124. The thrustbearing supports an upwardly-extending pivot tube for rotation about thesecond axis 156. An upper end of the pivot tube is attached to anunderside of the lower arm 150 for rotation therewith about the secondaxis 156. A ring gear, similar to the ring gear 402 shown in FIG. 10, iscoupled to a lower end of the pivot tube for rotation therewith. Tworotational stops, similar to the rotational stops 436 shown in FIG. 10,are coupled to the ring gear to limit the total swing range of the lowerarm 50 between 160° minimum to 190° maximum. The second plurality of theservice delivery lines 158 are routed upwardly through theupwardly-extending pivot tube. The term “tube” used in the specificationand claims generally refers to a cylindrical member such as a shaft, anarbor, etc.

The service head two pivots 128, 132 are generally similar inconstruction. Only one of the two service head pivots 128, 132, namely,the pivot 128 is described with reference to FIG. 11, which is a bottomperspective view of the pivot 128. The pivot 128 includes a thrustbearing 236 that is housed in a central hub 238 of a support casting 240of the service head 60. The casting 240 includes the central hub 238, agenerally trapezoidal perimeter frame 242, and seven ribs 244 thatextend between the central hub 238 and the perimeter frame 242. Thethrust bearing 236 is supported by a pivot tube 246 that extendsupwardly therefrom. An upper end of the pivot tube 246 is attached to anunderside of the upper arm 50 for rotation therewith about the firstaxis 56. A ring gear 452 is coupled to a lower end 248 of the pivot tube246. The ring gear 452 drives a pinion 450 as the service head 60 ispivoted about the second axis 66. The pivot tube 246 and the ring gear452 coupled thereto do not pivot with the service head 60 as the servicehead 60 pivots about the second axis 66. The service head 60 moveslongitudinally with the telescopic upper arm 50. In addition, theservice head 60 moves in an arc as the upper arm 50 pivots about thefirst axis 56.

FIG. 5 shows a support bearing 250 for supporting the telescopicmovement of the inner tube 70 relative to the outer tube 72 of the upperarm 50. The support bearing 250 includes a pair of laterally-spacedlower rollers 252 coupled to the outer tube 72 by respective pivot pins254. The lower rollers 252 rotatably support a pair of laterally-spacedlongitudinally-extending lower rods 256 coupled to the inner tube 70.The support bearing 250 further includes a pair of laterally-spacedupper rollers 258 coupled to the inner tube 70 by respective pivot pins260. The upper rollers 258 rotatably support a pair of laterally-spacedlongitudinally-extending upper rods 262 coupled to the outer tube 70.The upper rollers 258 are supported by a pair of laterally-spacedbrackets 264 secured to the inner tube 70 by bolts 266. Each lowerroller 252 is rotatably received in a channel 268 formed in the outertube 72. Each upper roller 258 is rotatably received in a channel 270formed in the associated bracket 264. In the illustrated embodiment, therods 256, 262 have projecting portions and the rollers 252, 258 havecomplementary circumferential groove portions in which the respectiveprojecting portions of the rods 256, 262 are received. Alternatively,the rollers 252, 258 may have circumferential projecting portions andthe rods 256, 262 may have complementary groove portions in which therespective projecting portions of the rollers 252, 258 are received.

The first brake 80 is normally in the braking position to impede thetelescopic movement of the inner tube 70 relative to the outer tube 72.The brake 80 is movable to its releasing positions in response to theactuation of either or both of the brake release switches 76 (FIG. 13)on the handle 64 of the service head 60 to allow the telescopic movementof the inner tube 70 relative to the outer tube 72. As shown in FIGS.7-9, the brake 80 includes inner and outer brake members 300, 302coupled to a pivot bracket 306 to pivot about a longitudinally-extendingpivot pin 308. The pivot bracket 306 is bolted to alongitudinally-extending step portion 310 of the inner tube 70 by a pairof bolts 312. The inner and outer brake members 300, 302 form ascissors-type clamp 304 that applies a braking force to the outer tube72 when the brake 80 is not energized (i.e., when the power to the brakeis off). As shown in FIG. 5, the brake 80 is mounted just forward of theleft rear bearing support bracket 264.

The pivot bracket 306 includes a longitudinally-extending centralportion 314 and a pair of end portions 316 that are longitudinallyspaced apart. The end portions 316 extend inwardly and downwardly fromthe central portion 314. The central portion 314 and the end portions316 of the pivot bracket 306 form a generally U-shaped configurationwhen viewed from the top. A step portion 310 (FIG. 6) of the inner tube70 has a pair of threaded openings which are aligned with a pair ofoversized openings 318 (FIGS. 7, 8) in the central portion 314 of thepivot bracket 306. The bolts 312 extend through the oversized openings318 in the central portion 314 of the pivot bracket 306 and are screwedin the threaded openings in the step portion 310 of the inner tube 70 tosecure the pivot bracket 306 to the inner tube 70.

As shown in FIGS. 7-9, the inner brake member 300 includes a central hubportion (obscured from view in FIGS. 7-9), an arm portion 322 thatextends outwardly and upwardly from the central hub portion and a legportion 324 that extends downwardly from the central hub portion. Theouter brake member 302 includes a central hub portion (obscured fromview in FIGS. 7-9), an arm portion 332 that extends upwardly from thecentral hub portion and a leg portion 334 that extends outwardly anddownwardly from the central hub portion. As shown in FIG. 8, the legportion 334 of the outer brake member 302 has a cutout 336 through whichthe leg portion 324 of the inner arm 300 extends.

As shown in FIG. 9, the upwardly-extending arm portion 322 of the innerbrake member 300 is disposed laterally outwardly of theupwardly-extending arm portion 332 of the outer brake member 302. Thedownwardly-extending leg portion 324 of the inner brake member 300 isdisposed laterally inwardly of the downwardly-extending leg portion 334of the outer brake member 302. The hub portions of the inner and outerbrake members 300, 302 have longitudinally-extending bores which arealigned with the longitudinally-extending bores in the end portions 316of the pivot bracket 306. The pivot pin 308 extends through the bores inthe end portions 316 of the pivot bracket 306 and the hub portions ofthe inner and outer brake members 300, 302. End portions of the pivotpins 308 have circumferential grooves for receiving associated C-washers340.

The confronting surfaces 342 of the downwardly-extending leg portions324, 334 of the inner and outer brake members 300, 302 carry respectivebrake pads 344. As shown in FIG. 6, the downwardly-extending legportions 324, 334 with the brake pads 344 straddle a longitudinally andupwardly-extending portion 346 of the outer tube 72. Thedownwardly-extending leg portion 324 of the inner brake member 300 isdisposed laterally inwardly of the upwardly-extending portion 346 of theouter tube 72. The downwardly-extending leg portion 334 of the outerbrake member 302 is disposed laterally outwardly of theupwardly-extending portion 346 of the outer tube 72.

The upwardly-extending arm portion 332 of the outer brake member 302 isdisposed laterally inwardly of the upwardly-extending arm portion 322 ofthe inner brake member 300. As shown in FIGS. 7-9, a pair of shoulderbolts 348 are screwed into outwardly-facing threaded openings (notshown) in the upwardly-extending arm portion 332 of the outer brakemember 302. The bolts 348 extend outwardly through respective slots 350(FIG. 8) in the upwardly-extending arm portion 322 of the inner arm 300.A coil spring 352 is disposed about a shaft portion of each shoulderbolt 348. Each spring 352 is held in a state of compression between ahead portion 356 of the bolt 348 and the outwardly-facing surface 358 ofthe upwardly-extending arm portion 322 of the inner brake member 300 asshown in FIG. 9. The two compression springs 352 bias the inner andouter brake members 300, 302 carrying the brake pads 344 to pivot aboutthe pivot pin 308 in clockwise and counterclockwise directions 360, 362(FIG. 9), respectively. The clockwise and counterclockwise rotation ofthe respective brake members 300, 302 clamps the upwardly-extendingportion 346 (FIG. 6) of the outer tube 72 between the brake pads 344 toimpede the telescopic movement of the inner tube 70 relative to theouter tube 72.

As shown in FIGS. 7-9, the brake 80 includes a solenoid 370 which whenenergized causes the inner and outer brake members 300, 302 to pivot inthe opposite directions—namely, the counterclockwise and clockwisedirections 364, 366 (FIG. 9), respectively. This spreads apart the brakepads 344 to allow the telescopic movement of the inner tube 70 relativeto the outer tube 72. The solenoid 370 includes a winding 372 supportedby the pivot bracket 306. The winding 372 has an oversized bore throughwhich a plunger 374 carrying a solenoid plate 376 extends. The solenoid370 is enclosed in a protective shield 380. The brake controller 102generates a brake release signal in response to the actuation of eitheror both of the brake release switches 76 (FIG. 13). The brake releasesignal is applied to the winding 372 through leads 382 (FIG. 3) whichare routed through the support structure 54 and through the uppertelescopic arm 50. The plunger 374, the solenoid plate 376, and theshield 380 are all made from non-magnetic materials.

As shown in FIG. 9, a distal end 384 of the plunger 374 rests againstthe inwardly-facing surface 386 of the upwardly-extending arm portion322 of the inner brake member 300. A light coil spring 388 is disposedabout the plunger 374 between the confronting surfaces 390, 392 of thesolenoid plate 376 and the shield 380 to keep the plunger 374 biasedtoward the upwardly-extending arm portion 322 of the inner brake member300. When the winding 372 is not energized, the compression springs 352bias the inner and outer brake members 300, 302 to pivot in theclockwise and counterclockwise directions 360, 362, respectively. Thisbiases the plunger 374 to move in a rightwardly direction 394 to causethe solenoid plate 376 to be spaced from the winding 372.

When the winding 372 is energized in response to the actuation of eitheror both of the brake release switches 76 (FIG. 13), the winding 372attracts the solenoid plate 376 causing the plunger 374 to move in aleftward direction 396 against the force of the compression springs 352.As the plunger 374 moves in the leftward direction 396, the inner andouter brake members 300, 302 rotate in the counterclockwise andclockwise directions 364, 366 (FIG. 9), respectively, to cause the brakepads 344 to move away from the upwardly-extending portion 346 of theouter tube 72. This releases the braking force applied to the outer tube72 to allow the inner and outer tubes 70, 72 of the upper arm 50 totelescope relative to each other.

The brake releasing force exerted by the winding 372 on the solenoidplate 376 when either or both of the brake release switches 76 (FIG. 13)are actuated must be strong enough to overcome the braking force exertedby the compression springs 352 on the inner and outer arms 300, 302. Thebraking force exerted by the compression springs 352 on the inner andouter arms 300, 302 can be changed by changing the spring rates of thecompression springs 352, or by changing the initial compression of thecompression springs 352, or by changing the vertical spacing between theshoulder bolts 348 and the pivot pin 308. The solenoid 370 is of thetype commercially available from Ledex as Model No. P/N 187789-032.

The arm system 20 includes a second brake 82 movable between a brakingposition to impede the pivoting movement of the upper arm 50 about thefirst axis 56 and a releasing position to allow the pivoting movement ofthe upper arm 50 about the first axis 56. The arm system 20 includes afourth brake 182 movable between a braking position to impede thepivoting movement of the lower arm 150 about the third axis 156 and areleasing position to allow the pivoting movement of the lower arm 150about the third axis 156. Since, the brakes 82, 182 are similar inconstruction, only one of the brakes 82, 182, namely, the second brake82, will be described below.

The brake 82 is normally in the braking position to impede the pivotingmovement of the upper arm 50 about the pivot axis 56. The brake 82 ismovable to its releasing positions in response to the actuation ofeither or both of the brake release switches 76 (FIG. 13) to allow thepivoting movement of the upper arm 50 about the pivot axis 56. As shownin FIG. 10, the brake 82 is mounted on the support casting 224 of theupper cantilevered portion 122 (FIG. 2) of the support structure 54. Thebrake 82 includes a pinion 400 (FIG. 12) driven by a ring gear 402. Thering gear 402 is coupled to the upper end 232 of the pivot tube 230 forrotation therewith about the pivot axis 56. The pivot tube 220 is, inturn, coupled to the upper arm 50 for rotation therewith about the pivotaxis 56.

As shown diagrammatically in FIG. 12, the brake 82 includes a solenoid404 having a winding 406 disposed in a housing 408 and a plunger 410carrying a solenoid plate 412 at a lower end thereof. The pinion 400 iscoupled to the upper end of the plunger 410. The lower end of theplunger 410 has a circumferential groove for receiving a C-washer 413 toprevent the solenoid plate 412 from falling off. The brake 82 includes afixed plate 414 which is secured to the housing 408 by suitablefasteners, such as rivets or bolts (not shown). Spacers 416 are providedbetween the underside of the fixed plate 414 and the topside of thehousing 408. A friction plate 418 is situated beneath the underside ofthe fixed plate 414. The plunger 410 extends through oversized bores420, 422 in the fixed plate 414 and the solenoid plate 412,respectively. The plunger 410 has a hex portion that is received in acomplementary hex cutout in the friction plate 418, so that rotation ofthe plunger 410 causes rotation of the friction plate 418. Compressionsprings 424 extend between the underside of the solenoid plate 412 andthe topside of the housing 408. When the winding 406 is not energized,the compression springs 424 clamp the friction plate 418 between thesolenoid plate 412 and the fixed plate 414 to impede the pivotingmovement of the upper arm 50 about the pivot axis 56.

The brake controller 102 generates a brake release signal in response tothe actuation of either or both of the brake release switches 76 (FIG.13). The brake release signal is applied to the winding 406 throughleads 426 (FIG. 3) which are routed through the vertical-extendingportion 120 of the support structure 54 and through the uppercantilevered portion 122. The winding 406, when energized in response tothe actuation of either or both of the brake release switches 76 (FIG.13), pulls the solenoid plate 412 away from the fixed plate 414 againstthe force of the compression springs 424. This frees the friction plate418, thereby allowing the upper arm 50 to pivot about the pivot axis 56.The plunger 410 and the solenoid plate 412 are constructed fromnon-magnetic materials. The brake 82 is of the type commerciallyavailable from Deltran PT as Model No. P/N BRP-30AS.

The arm system 20 includes a third brake 84 movable between a brakingposition to impede the pivoting movement of the first service head 60about the second axis 66 and a releasing position to allow the pivotingmovement of the first service head 60 about the second axis 66. The armsystem 20 includes a fifth brake 184 movable between a braking positionto impede the pivoting movement of the second service head 160 about thefourth axis 166 and a releasing position to allow the pivoting movementof the second service head 160 about the fourth axis 166. Since, thethird and fifth brakes 84, 184 pivotally mounting the service heads 60,160 to the respective upper and lower arms 50, 150 are similar inconstruction, only one of the two brakes 84, 184, namely, the thirdbrake 84, will be described below.

The brake 84 is normally in the braking position to impede the pivotingmovement of the service head 60 relative to the upper arm 50. The brake84 is movable to its releasing positions in response to the actuation ofeither or both of the brake release switches 76 (FIG. 13) to allow thepivoting movement of the service head 60 relative to the upper arm 50.As shown in FIG. 11, which is a bottom view, the brake 84 is mounted onthe upper casting 240 of the service head 60 for rotation therewithabout the pivot axis 66. The brake 84 includes a pinion 450 driven by aring gear 452. The ring gear 452 is coupled to the lower end 248 of thedownwardly-extending pivot tube 246. The pivot tube 246 is, in turn,coupled to the underside of the upper arm 50. The pivot tube 246 and thering gear 452 coupled thereto do not pivot with the service head 60 asthe service head 60 pivots about the axis 66.

As diagrammatically shown in FIG. 12, the brake 84, like the brake 82,includes a solenoid 404 having a winding 406 disposed in a housing 408and a plunger 410 carrying a solenoid plate 412 at a lower end thereof.The pinion 450 is coupled to the upper end of the plunger 410. The lowerend of the plunger 410 has a circumferential groove for receiving aC-washer 413 to prevent the solenoid plate 412 from falling off. Thebrake 84 includes a fixed plate 414 which is secured to the housing 408by suitable fasteners, such as rivets or bolts (not shown). Spacers 416are provided between the underside of the fixed plate 414 and thetopside of the housing 408. A friction plate 418 is secured to theunderside of the fixed plate 414. The plunger 410 extends throughoversized bores 420, 422 in the fixed plate 414 and the solenoid plate412, respectively. The plunger 410 has a hex portion that is received ina complementary hex cutout in the friction plate 418, so that rotationof the plunger 410 causes rotation of the friction plate 418.Compression springs 424 extend between the underside of the solenoidplate 412 and the topside of the housing 408. When the winding 406 isnot energized, the solenoid plate 412 is pressed against the frictionplate 418 by compression springs 424 to impede the pivoting movement ofthe service head 60 about the pivot axis 66.

The brake controller 102 generates a brake release signal in response tothe actuation of either or both of the brake release switches 76 (FIG.13). The brake release signal is applied to the winding 406 of the brake84 through leads 428 (FIG. 3) which are routed through thevertical-extending portion 120 of the support structure 54, through theupper cantilevered portion 122, through the upper arm pivot 126, throughthe upper arm and through the pivot 128. The winding 406, when energizedin response to the actuation of either or both of the brake releaseswitches 76 (FIG. 13), pulls the solenoid plate 412 away from the fixedplate 414 against the force of the compression springs 424. This freesthe friction plate 418, thereby allowing the service head 60 to pivotabout the pivot axis 66. The plunger 410 and the solenoid plate 412 areconstructed from non-magnetic material. The solenoid plate 412 isconstructed from magnetic material. The brake 84 is of the typecommercially available from Deltran PT as Model No. P/N BRP-23V.

While the disclosure is susceptible to various modifications andalternative forms, specific exemplary embodiments thereof have beenshown by way of example in the drawings and have herein been describedin detail. It should be understood, however, that there is no intent tolimit the disclosure to the particular forms disclosed, but on thecontrary, the intention is to cover all modifications, equivalents, andalternatives falling within the spirit and scope of the disclosure asdefined by the appended claims.

There is a plurality of advantages of the present invention arising fromthe various features of the embodiments described herein. It will benoted that alternative embodiments of the present invention may notinclude all of the features described yet still benefit from at leastsome of the advantages of such features. Those of ordinary skill in theart may readily devise their own implementations of a device thatincorporates one or more of the features of the present invention andfall within the spirit and scope of the present invention as defined bythe appended claims.

1. An arm system comprising a first arm supported by a support structure and having a first portion and a second portion coupled to the first portion for extension and retraction relative to the first portion along a longitudinal axis, the first and second portions having a first plurality of service delivery lines routed therethrough, and a first brake movable in response to a first user input between a braking position to impede the longitudinal movement of the second portion relative to the first portion and a releasing position to allow the longitudinal movement of the second portion relative to the first portion.
 2. The system of claim 1, wherein the first brake is configured to normally impede the longitudinal movement of the second portion relative to the first portion, and the first brake is movable to the releasing position in response to the actuation of a brake release switch to allow the longitudinal movement of the second portion relative to the first portion.
 3. The system of claim 1, wherein the first portion has a proximal end coupled to the support structure to pivot about a first axis, and the system further comprising a second brake movable in response to the first user input between a braking position to impede the pivoting movement of the first arm about the first axis and a releasing position to allow the pivoting movement of the first arm about the first axis.
 4. The system of claim 3, wherein the first and second brakes in the absence of the first user input impede the longitudinal movement of the second portion relative to the first portion and the pivoting movement of the first arm about the first axis, and the first and second brakes in the presence of the first user input allow the longitudinal movement of the second portion relative to the first portion and the pivoting movement of the first arm about the first axis.
 5. The system of claim 3, further comprising a first service head coupled to the second portion for longitudinal movement therewith and to pivot about a second axis and a third brake movable in response to the first user input between a braking position to impede the pivoting movement of the first service head about the second axis and a releasing position to allow the pivoting movement of the first service head about the second axis, wherein the first service head has a first plurality of service connectors coupled to the associated service delivery lines routed through the first arm.
 6. The system of claim 5, wherein brakes in the absence of the first user input impede the longitudinal movement of first service head and the pivoting movement of the first arm and the first service head, and the brakes in the presence of the first user input allow the longitudinal movement of the first service head and the pivoting movement of the first arm and the first service head.
 7. The system of claim 6, further comprising a controller that signals the first, second and third brakes to move to their respective releasing positions in response to the actuation of a first brake release switch.
 8. The system of claim 5, wherein the first and second axes each extend generally vertically.
 9. The system of claim 5, further comprising a second arm having a proximal end coupled to the support structure to pivot about a third axis, and a fourth brake movable in response to a second user input between a braking position to impede the pivoting movement of the second arm about the third axis and a releasing position to allow the pivoting movement of the second arm about the third axis, wherein the second arm has a second plurality of service delivery lines routed therethrough.
 10. The system of claim 9, further comprising a second service head coupled to a distal end of the second arm to pivot about a fourth axis, and a fifth brake movable in response to the second user input between a braking position to impede the pivoting movement of the second service head about the fourth axis and a releasing position to allow the pivoting movement of the second service head about the fourth axis, wherein the second service head has a second plurality of service connectors coupled to the associated service delivery lines routed through the second arm.
 11. The system of claim 10, wherein the fourth and fifth brakes in the absence of the second user input impede the pivoting movement of the second arm about the third axis and the pivoting movement of the second service head about the fourth axis, and the fourth and fifth brakes in the presence of the second user input allow the pivoting movement of the second arm about the third axis and the pivoting movement of the second service head about the fourth axis.
 12. The system of claim 11, further comprising a controller that signals the fourth and fifth brakes to move to their respective releasing positions in response to the actuation of a second brake release switch, wherein the second service head has a handle and the second brake release switch is extending from an inwardly-facing surface of the handle of the second service head.
 13. The system of claim 10, wherein the first, second, third and fourth axes each extend generally vertically.
 14. The apparatus of claim 5, wherein the first service head has a handle, a first brake release switch extends from an inwardly-facing surface of the handle, and the first, second and third brakes move to their respective releasing positions in response to the actuation of the brake release switch.
 15. The apparatus of claim 1, further comprising a first service head coupled to the second portion of the first arm, wherein the first service head has a handle, a first brake release switch extends from an inwardly-facing surface of the handle, and the first brake moves to its releasing position in response to the actuation of the brake release switch.
 16. An arm system comprising a first arm coupled to a support structure to pivot about a first axis, the first arm having a first portion and a second portion coupled to the first portion for extension and retraction relative to the first portion along a longitudinal axis, a patient care equipment support coupled to the second portion, a first brake movable in response to a first user input between a braking position to impede the longitudinal movement of the second portion relative to the first portion and a releasing position to allow the longitudinal movement of the second portion relative to the first portion, and a second brake movable in response to the first user input between a braking position to impede the pivoting movement of the first arm about the first axis and a releasing position to allow the pivoting movement of the first arm about the first axis.
 17. The system of claim 16, wherein the patient care equipment support comprises a first service head coupled to the second portion for longitudinal movement therewith and to pivot about a second axis and a third brake movable in response to the first user input between a braking position to impede the pivoting movement of the first service head about the second axis and a releasing position to allow the pivoting movement of the first service head about the second axis, wherein the first service head has a first plurality of service connectors coupled to the associated service delivery lines routed through the first arm.
 18. An arm system comprising a first arm coupled to a support structure to pivot about a first axis, a first patient care equipment support coupled to the first arm to pivot about a second axis, a first brake movable in response to a first user input between a braking position to impede the pivoting movement of the first arm about the first axis and a releasing position to allow the pivoting movement of the first arm about the first axis, and a second brake movable in response to the first user input between a braking position to impede the pivoting movement of the patient care equipment support about the second axis and a releasing position to allow the pivoting movement of the patient care equipment support about the second axis.
 19. The system of claim 18, wherein the first and second brakes in the absence of the first user input impede the pivoting movement of the first arm about the first axis and the pivoting movement of the first service head about the second axis, and the first and second brakes in the presence of the control signal allow the pivoting movement of the first arm about the first axis and the pivoting movement of the patient care equipment support about the second axis.
 20. The system of claim 18, wherein the first arm has a first portion and a second portion coupled to the first portion for extension and retraction relative to the first portion along a longitudinal axis, the first service head is coupled to the second portion for longitudinal movement therewith and the first and second portions have a first plurality of service delivery lines routed therethrough.
 21. The system of claim 20, further comprising a third brake movable in response to the first user input between a braking position to impede the longitudinal movement of the first service head and a releasing position to allow the longitudinal movement of the first service head.
 22. The system of claim 21, wherein the brakes in the absence of first user input impede the longitudinal movement of the service head and the pivoting movement of the arm and the service head, and the brakes in the presence of the control signal allow the longitudinal movement of the service head and the pivoting movement of the arm and the service head.
 23. The apparatus of claim 18, further comprising an annular member coupled to the first arm for rotation therewith about the first axis and a first stop movably coupled to the annular member, wherein the support structure includes a second stop configured to engage the first stop as the first arm is rotated in a first direction.
 24. The apparatus of claim 23, further comprising a third stop movably coupled to the annular member, wherein the support structure includes a fourth stop configured to engage the third stop as the first arm is rotated in a second opposite direction.
 25. The apparatus of claim 24, wherein the angular positions of the first and third stops relative to the annular member are variable to vary a swing range of the first arm in the first and second directions.
 26. An arm system comprising a first arm having a proximal end coupled to a support structure to pivot about a first axis, a first plurality of service delivery lines routed downwardly through the support structure and then outwardly through the first arm, a second arm having a proximal end coupled to the support structure below the first arm to pivot about a second axis, and a second plurality of service delivery lines routed upwardly through the support structure and then outwardly through the second arm.
 27. The system of claim 26, wherein the support structure has a first downwardly-extending pivot and a second upwardly-extending pivot, the proximal end of the first arm is coupled to the first downwardly-extending pivot to pivot about the first axis, the first plurality of service delivery lines are routed downwardly through the first downwardly-extending pivot and then outwardly through the first arm, the proximal end of the second arm is coupled to the second upwardly-extending pivot to pivot about the second axis, and the second plurality of service delivery lines are routed upwardly through the second upwardly-extending pivot and then outwardly through the second arm.
 28. The system of claim 27, wherein the support structure has a vertically-extending portion, a first outwardly-extending portion, and a second outwardly-extending portion located below the first outwardly-extending portion, the first downwardly-extending pivot extends downwardly from the first outwardly-extending portion, the first plurality of service delivery lines are routed downwardly through the vertically-extending portion, outwardly though the first outwardly-extending portion, downwardly though the first downwardly-extending pivot and then outwardly though the first arm, the second upwardly-extending pivot extends upwardly from the second outwardly-extending portion, and the second plurality of service delivery lines are routed downwardly through the vertically-extending portion, outwardly though the second outwardly-extending portion, upwardly though the second upwardly-extending pivot and then outwardly though the second arm.
 29. The system of claim 26, wherein the first arm has a first portion and a second portion coupled to the first portion for extension and retraction relative to the first portion along a longitudinal axis, and the first and second portions have the first plurality of service delivery lines routed therethrough.
 30. The system of claim 26, further comprising a first service head coupled to a distal end of the first arm, and wherein the first service head has a first plurality of service connectors coupled to the associated service delivery lines routed through the first arm.
 31. The system of claim 26, further comprising a second service head coupled to a distal end of the second arm, and wherein the second service head has a second plurality of service connectors coupled to the associated service delivery lines routed through the second arm. 